壁禅求悟 传承创新——外科医生读片的艺术  

The art of making an imaging diagnosis by a surgeon

作　　者：冯变喜[1] 

机构地区：[1]山西省人民医院普通外科,太原030012

出　　处：《中华肝胆外科杂志》2012年第7期489-493,共5页Chinese Journal of Hepatobiliary Surgery

摘　　要：研究外科医生提高影像诊断的艺术。首先，影像医生与外科医生读片在方法上存在本质性的区别。影像医生读片是在自己的专业范围内“看图说话”，而外科医生读片既“看图说话”做出诊断；又“离图说话”，通过临床资料、病理学认知、联想与直觉，推断片外的病变。其次，总结外科医生读片的艺术。外科医生读片有四种艺术，分别是用眼看片、用脑读片、用心想片和用智识片。外科医生应在一专多能的基础上，通过基础知识与临床经验的积累以及创造性联想与分析，进一步提高读片的准确性，进而提高外科决策的正确性。To study the arts of imaging diagnosis for the surgeons to increase the precision of their surgical deci- sion. There are essential differences between radiologists and surgeons in how they form their diagnoses through imaging. The radiologist concludes a diagnosis based on the images alone. The conclusions are primarily based on the single-fac- eted past examples from their specialty. Surgeons concen- trate on multi-modalities addressing the images, the clinical data, pathology, and inference chip lesions to make diagno- ses. The four arts of sight, cognitive association, inference, and wisdom are highlighted pillars of how surgeons form diagnoses from imaging. The surgeon may increase their accuracy of imaging diagnoses by these four arts.

关 键 词：影像诊断 外科医生 外科决策 

分 类 号：R192.3[医药卫生—卫生事业管理]